Active NPI 1376521997 Individual Practitioner Male Practitioner

Dr. Ismael Mercado , MD

General Practice • Bayamon, PR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ismael Mercado, MD is a certified General Practice practicing in Bayamon, PR. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Mercado delivers high-quality medical care to the local community at CALLE 2 G-14.

Dr. Mercado accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

Calle 2 G-14
Ext. Villa Rica

Bayamon, PR 00959

Telephone 7877854402

Fax 7879950283

Associated Practice Facility / Clinic

🏢 Transforma Medical Mall Corp. Facility NPI 1194960773

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Bayamon, PR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +5.2 yrs vs City Avg

City Avg: 22.8 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

288 Specialists

Practicing in Bayamon, PR (4449 Statewide)

Telehealth Adoption Rate

0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

1.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mercado (28 Years) 28 Yrs

Bayamon Specialty Average (22.8 Years) 22.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	13	$46.39	$45.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	30	$46.39	$45.90
99213 Established patient office or other outpatient visit, typically 15 minutes	38	16	$77.71	$77.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	11	$23.59	$23.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	27	$86.41	$85.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	13	$49.49	$49.49
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	13	$23.55	$23.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	25	$76.42	$76.02
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	39	21	$24.27	$23.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$46.39	$46.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	27	$75.49	$74.47
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	13	$21.55	$21.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	11	$43.23	$39.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$107.26	$101.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	99	30	$76.25	$69.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$105.92	$100.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	13	$94.07	$90.16

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PR 14690

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare

994518 (PR)

Commercial Insurance / Payer ID Sss

22195ME (PR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Jennifer Pabon Crespo , MD

General Practice

NPI 1003651613

Doctor of Medicine (M.D.)

Dr. Neira Segarra , MD

General Practice

NPI 1306824982

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 08, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 08, 2010

Registered at CALLE 2 G-14, EXT. VILLA RICA, BAYAMON, PR 00959 (Tel: 7877854402)

📍

Updated Business Mailing Address September 08, 2010

Registered at PO BOX 52217, TOA BAJA, PR 009502217 (Tel: 7877854402)

👤

Provider Name / Credentials Updated September 08, 2010

Recorded as ISMAEL MERCADO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2010

General Practice (License #14690 in PR)

🟢

Initial NPI Registration & Enumeration January 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376521997

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 04, 2006

Last Update: September 08, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 52217

Toa Baja, PR 009502217

Phone: 7877854402

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.